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    OpenPayerNPI Medicare & MedicaidYoichi Inaba
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    Yoichi Inaba — Billing Profile & Reimbursement Data

    NPI 1952550733 · Tamuning, GU · Interventional Cardiology Physician

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    Yoichi Inaba is a interventional cardiology physician provider located in Tamuning, Guam. This profile covers 23 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationYoichi Inaba
    Address633 Governor Carlos Camacho R. Ste. 205
    CityTamuning
    StateGU
    ZIP96913
    TaxonomyInterventional Cardiology Physician
    NPI EnumeratedSeptember 16, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$575.9K
    Medicaid$0

    Key Findings

    This provider’s entire public billing footprint is essentially single‑payer: total Medicare revenue is $575.9K and there is no Medicaid billing on file, so analyses of payer mix should treat Medicare as the operative population for contracting and utilization review. The absence of Medicaid claims means there is no in‑state Medicaid volume to benchmark against.

    Revenue is highly concentrated: the precomputed top‑3 Medicare codes by revenue account for 67.8% of this provider's total Medicare revenue. Those top three codes are 78452 (378 claims, $376 avg paid/claim, $142.1K revenue; 24.7% of total Medicare revenue), A9500 (742 claims, $186 avg paid/claim, $138K revenue; 24.0% of total Medicare revenue), and 99214 (1.2K claims, $94 avg paid/claim, $109.8K revenue; 19.1% of total Medicare revenue).

    The code mix points to a practice built around diagnostic and procedural cardiology services with a strong nuclear cardiology component: 78452 (SPECT myocardial perfusion studies) and A9500 (technetium tc‑99m sestamibi) together drive roughly half of revenue, while J2785 (regadenoson; 1.1K claims, $42 avg, $44.5K revenue) and high volumes of stress testing codes (e.g., 93017, 93016, 93018) support a workflow centered on stress imaging and pharmacologic stress protocols. Substantial use of 93306 (transthoracic echo; 1.3K claims, $49 avg, $61.5K revenue) indicates routine ultrasound imaging is also a core service line.

    Competitive standing on key procedure codes is markedly above typical national peers: 78452 ranks #226 of 14946 providers nationally (98th percentile; extreme outlier) and A9500 ranks #55 of 4099 providers nationally (99th percentile; extreme outlier), indicating unusually high national volume for nuclear cardiology. 99214 likewise ranks #7674 of 479517 providers nationally (98th percentile; extreme outlier), showing the provider has very high office E/M volume relative to peers. These percentile labels identify the provider as a major national outlier on multiple revenue‑driving codes rather than a modest participant.

    Beyond the top three, several diagnostic and monitoring codes are also extreme outliers or notably elevated: 93306 (99th percentile; extreme outlier), 93018 (100th percentile; extreme outlier), and 93227 (100th percentile; extreme outlier) all show volumes far above typical national peers. This pattern—high volumes across imaging, stress testing, and ambulatory ECG interpretation—suggests a high‑throughput diagnostic cardiology practice with repeatable testing workflows.

    The mix of high‑volume E/M (99214: 1.2K claims, $109.8K revenue) alongside procedure-heavy revenue indicates the provider combines longitudinal outpatient management with point‑of‑care diagnostic services; the presence of both frequent office visits and large imaging/pharmaceutical supply billing implies bundled operational capabilities (clinic plus onsite imaging/radionuclide administration). This combination can affect payer negotiations and utilization management strategies because both encounter-based and supply/procedure reimbursement streams matter.

    Tenure is long: NPI enumeration date is 2008-09-16 (~18 years ago), indicating an established billing history and likely continuity of practice patterns over time. That duration supports interpreting the outlier volumes as sustained operational characteristics rather than a short‑term spike.

    Concentration risk and contracting implications: with $575.9K total Medicare revenue and 67.8% of that coming from three codes, the provider’s financial profile is sensitive to reimbursement or utilization changes for nuclear cardiology and high‑level E/M. Payers and network managers should prioritize review of utilization policies, prior‑authorization pathways for SPECT/pharmaceuticals, and site‑of‑service coding to understand exposure and to structure any performance or utilization monitoring appropriately.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    78452In this procedure, the provider performs multiple SPECT studies of the heart to determine the areas of deficient blood flow. The goal of the procedure is to determine areas that have deficient blood…380$380$142.1K
    A9500Technetium tc-99m sestamibi, diagnostic, per study dose740$190$138K
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,170$90$109.8K
    93306The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…1,260$50$61.5K
    J2785Injection, regadenoson, 0.1 mg1,060$40$44.5K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…120$120$15K
    93017The provider records the electrical activity of the heart to examine for any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular intervals with the…360$20$8.7K
    93010The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.1,350$10$8.1K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…110$70$7.3K
    93016The provider supervises the recording of the electrical activity of the heart to examine any abnormality in its functioning by obtaining blood pressure and electrocardiograph readings at regular…360$20$6.2K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    78452110380$380$142K
    A9500110740$190$138.2K
    J27851101,060$40$44.6K
    93306110110$70$37.8K
    99214690140$90$25.7K
    9345421040$380$13.7K
    9921347100100$60$10.6K
    9920485030$110$6.7K
    93017110260$20$6.3K
    93018110520$10$5.4K

    Showing 1–10 of 23

    Nearby Providers

    Other providers in the same ZIP code as Yoichi Inaba, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thomas LeeGUDentist$0$10.9M
    Guam Memorial HospitalGUGeneral Acute Care Hospital$0$3.5M
    Rsa - Tumon, LLCGUEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$2.9M
    Robert YangGUDentist$0$2.4M
    Antonio GarciaGUPediatrics Physician$0$2.2M
    Ma Gladys LinsanganGUPediatrics Physician$0$2.2M
    Ari KaterelosGURadiation Oncology Physician$2.1M$0
    Guam X-rayGUVascular & Interventional Radiology Physician$0$2.1M
    Sarah CleggGUGeneral Practice Dentistry$0$1.7M
    Peter Kh GoGUSurgery Physician$152.8K$1.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Guam Distribution
    Yoichi Inaba — 5 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Guam